Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Office o/p est hi 40 min
Lebanon, NH
See all hospitals reporting CPT 99215 →Price type
Mary Hitchcock Memorial Hospital’s median price of $412 is 96% above the median hospital's median price ($210), higher than 84% of the 1,976 hospitals reporting CPT 99215. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 87 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Amerihealth Caritas amerihealth caritas - nh managed medicaid professional · percent of total billed charges · outpatientfrom % of charges | $79.54 | $79.54 | $79.54 – $79.54 |
| 2 | Amerihealth Caritas amerihealth caritas - nh managed medicaid professional · fee schedule · outpatient | $149.16 | $149.16 | $142.03 – $156.28 |
| 3 | Anthem anthem - medicare advantage - dhp professional · fee schedule · outpatient | $158.55 | $158.55 | $139.48 – $177.61 |
| 4 | Bcbs Vt bcbs of vermont - medicare advantage - dhp professional · fee schedule · outpatient | $158.55 | $158.55 | $139.48 – $177.61 |
| 5 | UnitedHealthcare uhc - va community care network - dhpn professional · fee schedule · outpatient | $158.55 | $158.55 | $139.48 – $177.61 |
| 6 | UnitedHealthcare uhc - va community care network - dhps professional · fee schedule · outpatient | $158.55 | $158.55 | $139.48 – $177.61 |
| 7 | Aetna aetna medicare advantage - dhp professional · fee schedule · outpatient | $163.30 | $163.30 | $143.66 – $182.93 |
| 8 | Cigna cigna medicare advantage - dhp professional · fee schedule · outpatient | $163.30 | $163.30 | $143.66 – $182.93 |
| 9 | WellCare wellcare - medicare advantage - dhp professional · fee schedule · outpatient | $164.88 | $164.88 | $145.05 – $184.71 |
| 10 | Ambetter ambetter commercial - exchange behavioral health - dhp professional · fee schedule · outpatient | $166.47 | $166.47 | $146.45 – $186.49 |
| 11 | UnitedHealthcare uhc - medicare advantage - dhp professional · fee schedule · outpatient | $185.55 | $185.55 | $185.55 – $185.55 |
| 12 | Amerihealth Caritas amerihealth caritas - nh managed medicaid - dhp professional · fee schedule · outpatient | $215.10 | $215.10 | $150.68 – $279.51 |
| 13 | Bcbs Vt bcbs of vermont - the vermont health plan facility · fee schedule · outpatient | $237.79 | $237.79 | $237.79 – $237.79 |
| 14 | Bcbs Vt bcbs of vermont - vermont health partnership facility · fee schedule · outpatient | $237.79 | $237.79 | $237.79 – $237.79 |
| 15 | Bcbs Vt bcbs of vermont - the vermont health plan professional · fee schedule · outpatient | $265.56 | $255.74 | $143.66 – $348.18 |
| 16 | Amerihealth Caritas amerihealth caritas - nh managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $273.11 | $273.11 | $79.54 – $466.68 |
| 17 | Bcbs Vt bcbs of vermont non-managed care plans facility · fee schedule · outpatient | $304.06 | $304.06 | $304.06 – $304.06 |
| 18 | Cigna cigna hmo-pos professional · fee schedule · outpatient | $314.53 | $314.53 | $271.84 – $357.22 |
| 19 | Anthem anthem shop - exchange professional · fee schedule · outpatient | $332.01 | $332.01 | $287.47 – $376.55 |
| 20 | Anthem anthem indiv qhp - exchange professional · fee schedule · outpatient | $343.74 | $343.74 | $297.62 – $389.85 |
| 21 | Anthem anthem shop - exchange - dhp professional · fee schedule · outpatient | $344.40 | $344.40 | $304.32 – $384.47 |
| 22 | UnitedHealthcare uhc - freedom plan professional · percent of total billed charges · outpatientfrom % of charges | $344.68 | $344.68 | $344.68 – $344.68 |
| 23 | Bcbs Vt bcbs of vermont - vermont health partnership professional · fee schedule · outpatient | $348.18 | $348.18 | $348.18 – $348.18 |
| 24 | Aetna aetna - hmo/pos/ppo professional · fee schedule · outpatient | $350.12 | $350.12 | $307.17 – $393.06 |
| 25 | Anthem anthem hmo/pos; individual non qhp on or off exch; shop off exch - dhp professional · fee schedule · outpatient | $354.01 | $354.01 | $312.81 – $395.20 |
Last updated: Jan 1, 2026
See Outpatient office visit, established patient, level 5 pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.